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SEO HO SONG MD
NPI 1013667989
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 24, 2022PECOS Enrolled
330 BROOKLINE AVE DEPT OF, BOSTON, MA 02215(617) 667-1029 Get Directions Write a Review

NPPES record last updated: March 30, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Seo Ho Song Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEO HO SONG MD (NPI 1013667989) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013667989
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSEO HO SONGCredential: MD
Location Address330 BROOKLINE AVE DEPT OFBoston, MA 02215-5491
Mailing Address330 Brookline Ave Dept OfBoston, MA 02215-5491 · (617) 667-1029
Phone(617) 667-1029
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 24, 2022
Last NPPES UpdateMarch 30, 2022
NPPES CertifiedMarch 30, 2022
✔ NPI 1013667989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

330 BROOKLINE AVE DEPT OF, Boston, MA 02215
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Secondary Practice Location 1

Location 1330 Brookline AveBoston, MA 02215-5491 · Phone (617) 667-1029

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seo Ho Song Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628584703
PECOS Enrollment IDI20250724001237
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSEPH ELIAS CHAHINE JR.
Student in an Organized Health Care Education/Training Program
330 BROOKLINE AVE DEPT OF
BOSTON, MA 02215
Suffolk County (617) 667-3112
KAYLEIGH MCDONALD
Nurse Anesthetist, Certified Registered
330 BROOKLINE AVE DEPT OF
BOSTON, MA 02215
Suffolk County (617) 667-3110
GABRIELLA ANDREA OJEDA-BADILLO MD
Student in an Organized Health Care Education/Training Program
330 BROOKLINE AVE DEPT OF
BOSTON, MA 02215
Suffolk County (617) 667-7000
FANGYU CHEN MD
Anesthesiology
330 BROOKLINE AVE DEPT OF
BOSTON, MA 02215
Suffolk County (617) 677-7000
RYAN CUERDON PA-C
Physician Assistant
330 BROOKLINE AVE DEPT OF
BOSTON, MA 02215
Suffolk County (617) 667-3940
DR. DARIO WINTERTON MD
Anesthesiology
330 BROOKLINE AVE DEPT OF
BOSTON, MA 02215
Suffolk County (617) 667-3112
JOSEPH D BERTRAND CRNA
Nurse Anesthetist, Certified Registered
330 BROOKLINE AVE DEPT OF
BOSTON, MA 02215
Suffolk County (617) 667-3110
ALEXEI KUDLA M.D.
Radiology (Diagnostic Radiology)
330 BROOKLINE AVE DEPT OF
BOSTON, MA 02215
Suffolk County (617) 754-9500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seo Ho Song's NPI number?

The NPI number for Seo Ho Song is 1013667989. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Seo Ho Song located?

Seo Ho Song practices at 330 Brookline Ave Dept Of, Boston, MA 02215. The listed phone number is (617) 667-1029.

What is Seo Ho Song's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Seo Ho Song enrolled in Medicare?

Yes. Seo Ho Song is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Seo Ho Song was last updated on March 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.